Healthcare Provider Details

I. General information

NPI: 1366297111
Provider Name (Legal Business Name): REGAN SNELL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 301 RAMSTEIN AB
APO AE
66877
US

IV. Provider business mailing address

BLDG 301 RAMSTEIN AB
APO AE
66877
US

V. Phone/Fax

Practice location:
  • Phone: 63-714-6221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN29265
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: